PERSONAL INFORMATION
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| *First Name |
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| *Last Name |
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| *Date of Birth (MM/DD/YYYY) |
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| *Street Address |
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| *City |
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| *State |
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| *Zip Code |
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| *Home Phone |
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| Cell Phone |
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| Email Address |
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FAMILY INFORMATION
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| *Marital Status |
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| If married, what is your spouse's name? |
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| Does he/she attend CCOB? |
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| Describe the state of your marriage: |
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| Do you have children? |
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| If so, what are their names and ages? |
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WORK INFORMATION
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| Work Phone (if applicable) |
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| May you receive calls at work? |
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| Occupation |
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| Employer |
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| Length of Employment (Years and Months) |
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SPIRITUAL LIFE
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| *How and when did you come to know Jesus Christ as your personal Lord and Savior? |
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| *How often do you privately read the Bible? |
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| *Describe your Bible reading time (how/when/what do you read?): |
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| *Describe your private prayer time: |
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*Describe your current relationship with
Jesus Christ: |
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| *What improvements (if any) would you like to make in your relationship with the Lord? |
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| *Have you been water baptized? |
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| When and where? |
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MINISTRY INFORMATION
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| *Are you attending CCOB on a weekly basis? |
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| How long? |
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*Which service(s)?
(Hold down the Ctrl key (or the apple key on the Mac) to select more than one service.) |
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| *Why is CCOB your home church? |
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*In which ministries would you like to serve?
(Hold down the Ctrl key (or the apple key on the Mac) to select more than one ministry.) |
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| *Why do you want to be involved in the ministry? |
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*Please describe your time availability
(time commitment, days & times of the week) |
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| Are you actively involved in any CCOB fellowship ministries? (ex: home groups, singles, etc.) |
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| If so, which ministries? |
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| Do you fluently speak another language? |
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| If so, which language? |
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REFERENCES
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| As a personal reference, please provide us with the names of two people who know you well; one should be a staff or ministry leader at CCOB: |
| *Reference #1 Name |
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| *Reference #1 Phone Number |
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| *How do you know this person? |
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| *How long have you known this person? |
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| *Reference #2 Name |
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| *Reference #2 Phone Number |
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| *How do you know this person? |
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| *How long have you known this person? |
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| If applicable, please list the names of any other churches that you have attended regularly during the past five years. List addresses if they are out of town: |
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